| NPI | 1588663512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KAUFMAN Medical Director 678-781-7388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 060-306) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-07-14 |